<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">


    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">结算时间:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-hexiao_js_time" class="form-control datetimepicker" data-rule="required" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[hexiao_js_time]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">是否核销:</label>
        <div class="col-xs-12 col-sm-8">

            <select  id="c-is_callback" class="form-control selectpicker" name="row[is_hexiao]">
                {foreach name="isHexiaoList" item="vo"}
                <option value="{$key}" {in name="key" value="2"}selected{/in}>{$vo}</option>
                {/foreach}
            </select>

        </div>
    </div>

    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-primary btn-embossed disabled">{:__('OK')}</button>
        </div>
    </div>
</form>
